Individual
BROOKE ANGELA FAVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
52 OLIVIA WAY, CHESTERFIELD, NJ 08515-2940
(908) 397-2957
Mailing address
52 OLIVIA WAY, CHESTERFIELD, NJ 08515-2940
(908) 397-2957
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-69449
PA
Other
Enumeration date
01/21/2025
Last updated
01/21/2025
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